| Doctor Name: | ROBERTA NEWTON |
| NPI Number: | 1487075487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN-73237 |
| Business Practice Address: | 125 Square Deal Rd Belen, NM - 870028269 |
| Business Phone Number: | 5058692679 |
| Business Fax Number: | 5058695428 |
| Mailing Address: | 3645 Highway 47, PERALTA |
| State: | NM |
| Postal Code: | 87031 |
| Phone Number: | 5058692679 |
| Fax Number: | 5058695428 |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN-73237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |